Journal of Multidisciplinary Healthcare最新文献

{"title":"Evaluating in situ Simulation in Critical Care: Insights from Healthcare Professionals [Letter].","authors":"Andres Giglio, Andres Ferre, Javiera Garcia","doi":"10.2147/JMDH.S531343","DOIUrl":"10.2147/JMDH.S531343","url":null,"abstract":"","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5271-5273"},"PeriodicalIF":2.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Needs Analysis of Supportive Care for Postoperative Wound Rehabilitation in Anal Fistula Patients Based on the Kano Model.","authors":"Chunxia Zhou, Yao He, Peirong Yang, Jie Du, Chuanhua Yang, Xue Wang","doi":"10.2147/JMDH.S535960","DOIUrl":"10.2147/JMDH.S535960","url":null,"abstract":"<p><strong>Objective: </strong>To qualitatively analyze the supportive care needs (including health education and nursing care) of anal fistula patients after fistulotomy using the Kano model.</p><p><strong>Methods: </strong>A total of 183 anal fistula patients who underwent fistulotomy from December 2021 to December 2023 were selected via cluster sampling. Sociodemographic data were collected, and a self-designed questionnaire based on the Kano model (validated through two rounds of expert consultation and referring to the related literature) was used to assess patients' supportive care needs. The questionnaire covered health education needs (eg, delivery methods, content) and nursing needs (eg, physiological and psychological support). Satisfaction indices (SI), dissatisfaction indices (DSI), and a DSI-SI matrix were calculated.</p><p><strong>Results: </strong>Among 12 health education needs, 3 were Must-be (M) (25.00%), 4 were One-dimensional (O) (33.33%), 4 were Attractive (A) (33.33%), and 1 was Indifferent (I) (8.33%). The DSI-SI matrix identified 2 high-priority (16.67%), 2 to-be-improved (16.67%), 3 secondary-improvement (25.00%), and 5 low-priority (41.67%) items. Among 12 nursing needs, 2 were M (16.67%), 3 were O (25.00%), and 7 were A (58.33%). The matrix showed 1 high-priority (8.33%), 1 to-be-improved (8.33%), 1 secondary-improvement (8.33%), and 9 low-priority (41.67%) items.</p><p><strong>Conclusion: </strong>The Kano model effectively identifies supportive care needs for anal fistula patients post-surgery, providing a comprehensive basis for precision treatment and postoperative nursing.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5289-5298"},"PeriodicalIF":2.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmacist-Led Digital Health Interventions to Improve Treatment Outcomes in Patients with Hypertension - A Systematic Review.","authors":"Geraldo Surya, Angelica, Widya Norma Insani","doi":"10.2147/JMDH.S530575","DOIUrl":"10.2147/JMDH.S530575","url":null,"abstract":"<p><p>With the advancement of digital technologies, pharmacist-led digital health interventions (DHI) have emerged as a promising strategy to improve hypertension management. This systematic review evaluated randomized controlled trials (RCTs) published from December 1996 to May 2024, identified via PubMed by incorporating key concepts including DHIs, pharmaceutical care, and hypertension. The review included RCTs assessed telephone-, web-, or mobile-based pharmacist-led DHI compared to usual care (UC). Primary outcomes included blood pressure (BP) reduction, medication adherence, and identification of drug-related problems (DRPs). Following the modified Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, fourteen RCTs met inclusion criteria, with interventions categorized as telephone monitoring (n = 6), web-based interventions (n = 5), and mobile-based interventions (n = 3). Eight studies (57.14%) showed significant BP reduction in the intervention group (IG), one (7.14%) reported diastolic blood pressure (DBP) reduction only, and one found no significant BP difference between IG and control group (CG). One study reported a higher BP control rate in the IG (OR = 3.64). All studies evaluating adherence (n = 5) showed improvements, and one reported enhanced DRP identification. We identified that interventions' effectiveness is influenced by frequency of the intervention, personalization, and patient engagement. Designing an intervention compatible with each patient and providing sufficient guidance may improve effectiveness. As most studies were conducted in high-income countries, further research is needed to ensure the applicability of DHIs in diverse settings. In conclusion, pharmacist-led DHIs demonstrate potential in improving hypertension outcomes, with further validation required to support their implementation across varied healthcare systems.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5275-5287"},"PeriodicalIF":2.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traditional Remedies for Cardiovascular Diseases in Asia: A Scoping Review of Mind-Body and Herbal Interventions.","authors":"Raini Diah Susanti, Eli Halimah, Maria Komariah, Intan Timur Maisyarah, Via Eliadora Togatorop, Noviani Megatami","doi":"10.2147/JMDH.S535719","DOIUrl":"10.2147/JMDH.S535719","url":null,"abstract":"<p><p>Cardiovascular disease (CVDs) has emerged as a major public health challenge, serving as a leading cause of mortality and morbidity worldwide. Traditional remedies, some of the oldest forms of medicine, are used for the prevention and treatment of various diseases, particularly CVDs. These remedies are widely practiced in several regions of Asia and are increasingly recognized for their role in improving overall health outcomes. This study aims to identify the indigenous knowledge of Asian remedies to prevent and treat cardiovascular disease. Following the PRISMA-ScR checklist, we conducted a systematic search in PubMed, Web of Science, Scopus, and CINAHL for articles published between 2019 and 2023. Keywords used included \"herbal medicine\", \"traditional medicine\", \"complementary therapies\", and \"cardiovascular disease.\" Fifteen studies were included: 7 focused on mind-body therapies and 8 on herbal medicine. All studies investigating the traditional remedies for cardiovascular outcomes in patients aged ≥18 years were included. The study highlights the role of these remedies as preventive and therapeutic options alongside conventional medications. These remedies can be classified into mind-body therapies and herbal medicine, demonstrating effectiveness in lowering blood pressure and reducing CVD risk, while also helping to regulate stress and emotions. Traditional remedies offer significant benefits in preventing and managing CVD with minimal side effects. It can be utilized independently as traditional treatments or in conjunction with conventional medication. However, high heterogeneity and lack of safety data remain limitations. Further high-quality research is warranted to understand any potential interactions and support clinical integration of traditional remedies.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5249-5262"},"PeriodicalIF":2.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Effects of HTK and St. Thomas Cardioplegia on Myocardial Outcomes and Sodium Balance in Pediatric Tetralogy of Fallot Surgery.","authors":"Li-Jun Liang, Zhi-Lan Ding, Li-Fen Zhang, Cai-Xia Liu, Hong-Wei Xi, Jin-Ming Yang","doi":"10.2147/JMDH.S533452","DOIUrl":"10.2147/JMDH.S533452","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the myocardial protective efficacy of different myocardial protection solutions used during extracorporeal circulation in pediatric patients undergoing surgery for complex congenital heart disease. The analysis focused on the effects of these solutions on perioperative cardiac rhythm and serum sodium levels.</p><p><strong>Methods: </strong>A retrospective analysis was performed on clinical data from 60 pediatric patients who underwent surgery with extracorporeal circulation for complex congenital heart disease between January 2022 and October 2024. Patients were categorized into the St. Thomas cardioplegic solution group (n = 30) and the histidine-tryptophan-ketoglutarate (HTK) solution group (n = 30). Serum sodium levels and myocardial enzyme markers were monitored perioperatively. Additionally, the incidence of postoperative cardiac arrhythmia and the duration of cardiac reperfusion were recorded.</p><p><strong>Results: </strong>No significant differences in serum sodium concentrations were observed between the groups preoperatively, or at 12 and 48 hours postoperatively (<i>p</i> > 0.05). However, intraoperative serum sodium levels at 30 and 60 minutes were significantly lower in the HTK solution group compared to the St. Thomas cardioplegic solution group (<i>p</i> < 0.05). Postoperative levels of creatine kinase-MB and B-type natriuretic peptide at 12 and 48 hours were significantly lower in the HTK solution group than in the St. Thomas cardioplegic solution group (<i>p</i> < 0.05). Additionally, the cardiac reperfusion duration was significantly shorter in the HTK solution group (<i>p</i> < 0.05). No significant difference was observed in the incidence of postoperative cardiac arrhythmia between the two groups (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>Compared with St. Thomas cardioplegic solution, the HTK solution was associated with significant intraoperative fluctuations in serum sodium concentrations, which stabilized postoperatively. HTK solution demonstrated improved myocardial protection as evidenced by reduced cardiac reperfusion time and lower postoperative myocardial enzyme levels, without an increased risk of postoperative cardiac arrhythmias.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5263-5269"},"PeriodicalIF":2.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Bibliometric Study of the Evidence About Applying Virtual Reality in Mental Health Care.","authors":"Saiyu Gao, Pan Su, Aiming Wang, Yongfang Tao","doi":"10.2147/JMDH.S536946","DOIUrl":"10.2147/JMDH.S536946","url":null,"abstract":"<p><strong>Background: </strong>Virtual reality (VR) technology has gained much traction related to mental health owing to its interactive features and immersive nature. A systematic bibliometric evaluation is necessary to guide researchers in identifying emerging trends and research priorities in VR technology applications for mental health, highlighting evolving challenges and research needs.</p><p><strong>Objective: </strong>This study aimed to analyze the bibliometric characteristics and scope of evidence on the application of virtual reality in mental health care, synthesizing findings and exploring potential innovations.</p><p><strong>Methods: </strong>We conducted a bibliometric analysis using CiteSpace to examine 1333 articles from the Web of Science Core Collection (from January 1, 1999, to February 14, 2025), retrieved via the search query TS=(\"Mental health\" AND \"Virtual reality\"). The study mapped key research trends, including international and institutional collaboration networks, author co-citation networks, and the evolution of keyword co-occurrence to identify influential contributors, thematic clusters, and emerging developments in VR-based mental health research.</p><p><strong>Results: </strong>The analysis revealed three key findings: (1) Exponential publication growth starting in 2020 with over 110 annual publications; (2) Robust collaboration networks featuring 3587 authors with Riva, G. as a central figure and the University of London as the most prominent institutional hub; (3) Virtual reality, exposure therapy, skin conductance, mild cognitive impairment, psychosis, augmented reality, and serious game are the main research clusters. Emergent word analysis of keywords from 2014 to early 2025 yielded 34 words/terms with the strongest citation bursts.</p><p><strong>Conclusion: </strong>This study demonstrates VR's integration with traditional therapy and its expanding role in treating diverse mental health conditions, from anxiety to schizophrenia. Future research should focus on standardizing treatments and validating their efficacy.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5213-5225"},"PeriodicalIF":2.4,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-Driven Large Language Models in Health Consultations for HIV Patients.","authors":"Chun-Yan Zhao, Chang Song, Tong Yang, Ai-Chun Huang, Hang-Biao Qiang, Chun-Ming Gong, Jing-Song Chen, Qing-Dong Zhu","doi":"10.2147/JMDH.S533621","DOIUrl":"10.2147/JMDH.S533621","url":null,"abstract":"<p><strong>Purpose: </strong>This study endeavors to conduct a comprehensive assessment on the performance of large language models (LLMs) in health consultation for individuals living with HIV, delve into their applicability across a diverse array of dimensions, and provide evidence-based support for clinical deployment.</p><p><strong>Patients and methods: </strong>A 23-question multi-dimensional HIV-specific question bank was developed, covering fundamental knowledge, diagnosis, treatment, prognosis, and case analysis. Four advanced LLMs-ChatGPT-4o, Copilot, Gemini, and Claude-were tested using a multi-dimensional evaluation system assessing medical accuracy, comprehensiveness, understandability, reliability, and humanistic care (which encompasses elements such as individual needs attention, emotional support, and ethical considerations). A five-point Likert scale was employed, with three experts independently scoring. Statistical metrics (mean, standard deviation, standard error) were calculated, followed by consistency analysis, difference analysis, and post-hoc testing.</p><p><strong>Results: </strong>Claude obtained the most outstanding performance with regard to information comprehensiveness (mean score 4.333), understandability (mean score 3.797), and humanistic care (mean score 2.855); Copilot demonstrated proficiency in diagnostic questions (mean score 3.880); Gemini illustrated exceptional performance in case analysis (mean score 4.111). Based on the post-hoc analysis, Claude outperformed other models in thoroughness and humanistic care (P < 0.05). Copilot showed better performance than ChatGPT in understandability (P = 0.045), while Gemini performed significantly better than ChatGPT in case analysis (P < 0.001). It is important to note that performance varied across tasks, and humanistic care remained a consistent weak point across all models.</p><p><strong>Conclusion: </strong>The superiority of diverse models in specific tasks suggest that LLMs hold extensive application potential in the management of HIV patients. Nevertheless, their efficacy in the realm of humanistic care still needs improvement.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5187-5198"},"PeriodicalIF":2.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Machine Learning and Bayesian Belief Network Approach to Predicting Cervical Cancer Risk: Implications for Risk Management.","authors":"Khaled Toffaha, Mecit Can Emre Simsekler, Andrei Sleptchenko, Michael A Kortt, Laurette L Bukasa","doi":"10.2147/JMDH.S524132","DOIUrl":"10.2147/JMDH.S524132","url":null,"abstract":"<p><strong>Introduction: </strong>Cervical cancer remains a major global health challenge, necessitating enhanced risk stratification and early detection methodologies. This study proposes a comprehensive predictive framework for cervical cancer leveraging advanced machine learning (ML) algorithms and Bayesian Belief Networks (BBNs), illustrating the transformative role of digital technologies in healthcare and education within an increasingly digitized society.</p><p><strong>Methods: </strong>A cohort of 858 patients was analyzed, addressing data challenges, including missing values, class imbalance, and nonlinear feature interactions, that frequently compromise the reliability of predictive modeling. Methodologically, this study integrated advanced data science approaches, including multiple imputation, feature selection, and imbalance mitigation, advancing medical analytics to ensure robust model generalizability.</p><p><strong>Results: </strong>High predictive performance was observed across different cervical cancer screening tests. The combined target ML model achieved an accuracy of 95.6%, an area under the receiver-operating characteristic curve (AUROC) of 0.958, and an F1-score of 0.945. The BBN, built upon the Bayesian Additive Regression Trees (BART) model, demonstrated a positive prediction rate (sensitivity) of 91.3% and a negative prediction rate (specificity) of 86.8%.</p><p><strong>Discussion: </strong>These results validate the technical efficacy of the proposed framework and underscore its potential for integration into clinical decision-support systems. Beyond clinical applications, this research contributes to computational oncology by demonstrating the synergistic potential of combining probabilistic graphical models with ML techniques. The study highlights the critical role of interdisciplinary collaboration between clinical experts and data scientists in creating effective AI healthcare solutions. It also emphasizes the need for upskilling healthcare workers and optimizing healthcare delivery processes to fully realize the benefits of precision medicine.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5199-5211"},"PeriodicalIF":2.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualitative Study on Cognitive Load in Epilepsy Specialist Nurse Training in Northeast China: A Phenomenological Study Among Ten Trained Nurses.","authors":"Li Yin, Xinmin Liu, Lan Lin, Qinghua Jin, Shuang Dai","doi":"10.2147/JMDH.S530409","DOIUrl":"10.2147/JMDH.S530409","url":null,"abstract":"<p><strong>Background: </strong>Although cognitive load theory has been applied in general nursing education, its role in epilepsy specialist training remains unexplored, particularly in resource-constrained regions such as Northeast China, where medical disparities intensify learning barriers.</p><p><strong>Objective: </strong>To investigate the cognitive load experienced by epilepsy specialist nurses (ESNs) during training in Northeast China.</p><p><strong>Methods: </strong>The research participants were 10 nurses who underwent epilepsy training between December 2023 and February 2024, all from tertiary hospitals within the province. Data were collected through semi-structured interviews. Colaizzi's phenomenological method was used for data analysis.</p><p><strong>Results: </strong>Epilepsy specialist training nurses face challenges related to intrinsic load, including inadequate disease knowledge and the complex nature of neuroanatomy and electrophysiology. Extrinsic load arises from the negative effects of instructional techniques and educational environments, such as the limitations of traditional teaching methods and the mixed effectiveness of scenario-based simulations. Germane load relates to professional beliefs that enhance learning effectiveness, such as the influence of exemplary mentors and professional identity, along with active reflection and the internalisation of knowledge, which can substantially improve the learning outcomes of ESNs.</p><p><strong>Conclusion: </strong>Nurses engaged in epilepsy care in Northeast China experience a relatively high cognitive load during ESNs training, and their level of specialised theoretical knowledge requires improvement. Optimising the training model by reducing intrinsic and extrinsic loads while increasing germane load can effectively enhance the training's overall effectiveness. The findings of this study offer specific recommendations for improving the quality of ESNs training in real medical education settings.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5173-5185"},"PeriodicalIF":2.4,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Intelligent Medical Systems Combined with Interdisciplinary Care Teams on Home-Based Elderly Population's Quality of Life.","authors":"Chong Song, Yongpan Huang, Wei Zhan, Zhuhui Liu, Shiqing Yao","doi":"10.2147/JMDH.S542529","DOIUrl":"10.2147/JMDH.S542529","url":null,"abstract":"<p><strong>Background: </strong>This study examines the efficacy of an intelligent medical-elderly care integration model for improving quality of life among homebound seniors in Yuhua District, Changsha, China.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted from May 2022 to April 2024 with 100 participants allocated equally to control and intervention groups through convenience sampling. While both groups received standard care, the intervention group additionally received intelligent care services. Outcomes were assessed using Activities of Daily Living (ADL), Physical Activity Performance (PAP), and Social-Cognitive Adaptation Assessment (SCAA) scales.</p><p><strong>Results: </strong>The intervention group demonstrated statistically significant improvements across all measures (P<0.05), with particularly notable outcomes in disability level transitions: moderate disability cases increased from 26% to 70%, while severe cases decreased from 58% to 14% (P<0.05). Comparative analysis revealed the intervention group significantly outperformed controls in PAP and SCAA scores (P<0.05).</p><p><strong>Conclusion: </strong>The intelligent care model proves effective in enhancing functional capacity and reducing care dependency among homebound elderly, offering valuable insights for elderly care service optimization. Further research should explore long-term sustainability and cost-effectiveness.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5161-5172"},"PeriodicalIF":2.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12379985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}